摘要
我院自1989年5月至1991年3月,共收治多种原因烧伤225例,最大烧伤面积76％;其中深Ⅱ°面积16％,Ⅲ°面积35％;平均面积10.36％;伴Ⅲ°烧伤67例,平均Ⅲ°面积7.15％。均采用徐荣祥教授发明的湿润暴露疗法治疗,治愈率为96.89％。实践使我们体会到,该疗法具有止痛效果好、抗感染能力强、深Ⅱ°创面不留疤痕、浅Ⅲ°创面治愈后留有软而薄或花斑样疤痕及便于观察创面、补液少等优点。深度创面实施药刀结合,可缩短疗程,促进愈合而不增加疤痕愈合率。我们使用“电热褥小空间保温法”,有效地保持了创面周围温度的恒定,且具有经济、安全、方便等优点。并认识到及时有效地就地处理,是降低休克,减少并发症降低死亡率的关键之一。
225 cases of various kinds of burn had been treated in our hospital from May 1 989 to March 1991. The largest burn area was 76% BSA. The average burn area was 10.36% BSA. 16% had deep 2nd degree, burns and 35% 3rd degree burns. 67 cases of 3rd degree burn had an average area of 3rd degree burn of 7.15%. All the patients were treated with moist exposed therapy invented by Prof. Xu Rongxiang. 96.89% of the patients healed. Clinical practice proved that the therapy has good analgesic and antiinfective effects. No scar formation for 2nd degree burns and only very soft or pie-bald scar for 3rd degree burns. The inspec-tion of the wound surface is very conve-nient. For deep burns, if the drug is used in combination with lancet, the therapeutic course can be shortened and the healing process promoted. The authors used a technique called " electric heat mattress small space thermostatic method" to keep the external environment of the wound at a constant temperature. This method is safe, convenient and economical. The key to the reduction of death rate and the incidence of shock and other complications is to treat the patient timely without delay.
出处
《中国烧伤创疡杂志》
1991年第4期21-24,63,共5页
The Chinese Journal of Burns Wounds & Surface Ulcers
